HomeMy WebLinkAbout15131 Triton Ln - CofO (15)APPLICATION FOR CERTIFICATE OF OCCUPANCY,
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CITY OF HUNTINGTON BEACH lY
�. DEPARTMENTOFBIJ LDING & SAFETY
I HlvrriaCTON euai V DATE
` Address n ) O �`' t r District f '
Business Name 7A151?—_�-✓s`�-�!
Business Type �C f Q.45T'li >cOcc. Group r
BUSINESS OWNEWMANAGER
OWNFR BUILDIR '
`7C.J3� `C1S1 }ur;"6jy,_ Name
NameAV-4
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Home
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Address � - �51)Q �'-r_? t"' ?� � � Address
c City_ Tel. .._.+ City �51'_ ! 1� G_ +i Home Tel. C
THIS USE WOULD BE DESCRIBED AS:
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NEWLY CONSTRUCTED BLDG. ❑ CHANGE OF OWNER ❑CHANGE OFOC
CUPANT
i EXISTING BUILDING ❑ CHANGE OF USE ❑; ADDITIONAL OCCUPANT
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Indicate former use, If any Occupancy Gr.
SQUARE FT, OF BUILDING TO BE OCCUPIED
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NOTIGE: 1. Occupancy of any building is prohibited and a business license will not be issued until the building has been
inspected and a certificate of occupancy is issued.
r 2. No 'electrical service will be released for any existing building until the service has been inspected and
certified safe, All applicants for occupancy in an existing building are required to schedule an electrical
R 'fuse up' inspection in the Department of Community Development at the time this application is filed.
3. Change of occupancy or Use inspection fee. Whenever it is necessary to make inspection of a building or
premises in order to determine if a change may be ;made in the characterof occupancy or use of the building
or premises which'wouid place the building in a different division of the same group of occupancy or in a
i different group of occupancy, a change of occupancy inspectionfee of $ shall
be paid to the city.
4. Huntington Beach Fire Code Section 10,208 requires that building numbers must be a minimum of four (4)
4 inches in height with one half (1/2) inch stroke, and of a contrasting color from the background. These
numbers must be posted on your building in a location that is visible from the street.
5, Huntington Beach Fire Code Sections 10.301 requires fire extinguisher selection and distribution per the I
National Fire Protection ssociatfon pamphlet 10 (see reverse side).
-7,1 C*C:�2�
TRAPFIC iNMACT FEE
DATE ME)-
' MOUNT RECEIVED
NAMIE,(FOR OFf-'iCE USE ONLY) �
ZONING
OCCUPANCY GROUP' PLAN CHECK NO, NO PARKING SPACES
OCCUPANT LOAD'' PERMIT NO HEALTH DEPT. APPROVAL
I N F STORIES' ADMIN. ACTION UTILITIES.RELEASED _
6�&RTIFICATE OF OCCUPANCY FEE $ _
APPROVED BY DATE CHANGE, OF USE OR OCCUPANCY FEE $ C"^
Taw $ _
"'` FISRM: 38-039' RPV 2102 RE-ORDrkSMD DOLLAR 714-842-1148 ^ BUILDIIN! & SAFE
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SUPPLEMENTAL INFORMATION
BUSINESS ADDRESS J5/IP-J'TOAJ,_ ��,�1'' 4-6/0
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2.
Person to contact in case of emergencvL, A4 G AW
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Telephone - number:
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3.
Does the building in question have electricity?
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❑ No
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(a) If No` are you ' requesting that the electricityhe
❑ Yes
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turned on?
❑ No
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4.
The building is sprinklered?
Yes
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❑ No
5.
Operations will produce dust / wood ` shavings ` or similar
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material?
Cl Yes
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6.
Operations will -involve the repair of replacement of
❑ Y•eb
automobile parts?
`®'No
If Yes:
(a) Describe the components repaired or replaced.
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(b) Does the operation involve the use of an open flame?
❑ 'Yes
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No
7.
The business is drinking, dining or assembly use that
will
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result in an occupant load of more than 50 persons.
❑ Yes
No
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8.
The following best describes my operation;
Cffice Only
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Retail Sales
Warehouse
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Manufacturing / Distribution (descries process a d end
product)
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Restaurant / Take Out. Food' ..
Medical / Dental `
Other (describe) '
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"al,3ppLeMr-.`NTAL INFORMATION
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AIR QUALITY MANAGEMENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-4182 (909) 396.2000
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AIR QUALITY PERMIT CHECKLIST
for nonresidential buildings only
Company Name- %a '� (C At v A�,C
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Location of Prop tarty:
City: �y Zio Code: 61 _ 1
Contact Person: Z_ 3 ' G Title:
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Telephone Number:6 7-." qLaO l Fax Number: R��
Type of Industry/Business:
To apply for a nonresidential building permit, you must .complete this checklist. If you have any
questiots about completing this checklist, please call (800) 388-2121.
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YES
NO
I. Will the facility have a charbrw r? [ ]
2. Will any, internal combustion engine with greater than 50 horsepower
operate at the facility (excluding motor vehicles)?
3. Will operations at the facility involve mixing, ?Mending, or processing of
solvents, ad' .esives, paints or coatings? j
4. Wili dust or smoke be generated at the facility?
5. Will refining of any liquids or solids be done at the facility? [ ]
6. Will any plating or coating of materials be doneat the facility? [ J
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7. Will any combustion equipment rated greater than 2,000,000 BTU/hr be
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cperated at the facility? [ ]
8. -Will any acids, solver,,s, or motor fuel be used or, stored at the facility?
9. Will any organic liquids or gases be reacted or produced?
10. Will any ovens be used to airy or cure products at the facility? [ ]
11. Will any CFC (Freon) recycling machines operate at the fac'.' ? [ J
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ApplcantC1,AL-9 � >,,t�' • Signature:
(Print name clearly)
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If you have marked "NO" in all the boxes, an air quality permit is not needed at this time,
and this checklist: is your written release.
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If you marked "YES" in any of the boxes, you must contact the South Coast Asir Quality
Management Matiiet (AQMD). Please'read the requirements, on the back of the checklist.
(800)388-2121
' " ADDITIO1�AIKSi1>�PL1wilREP1#Akll�;FOR4'�Ai#Cr�